PU/PI: Pressure Ulcers/Pressure Injuries
Why We Want to Prevent Pressure Ulcers/Injuries
Pressure ulcers are wounds caused by constant pressure on the skin creating lack of blood flow to that area.
The term “pressure injury” has now replaced “pressure ulcer” in the National Pressure Ulcer Advisory Panel Pressure Injury Staging System. According to the Advisory Panel, the change in terminology more accurately describes pressure injuries to both intact and ulcerated skin.
Pressure injuries occur most often on the elbow, shoulder, back, hip and back of the head. Pressure injuries lead to increased lengths of hospital stays and higher costs for hospitals and affect more than 2.5 million people in the United States every year. Pressure injuries lead to increased risk of infection and are typically seen in high-risk populations such as the elderly or immobile patients and can interfere with a patient’s recovery because they develop quickly and are difficult to treat. The cost to treat pressure injuries is estimated between $9 billion and $11 billion.
Success Within New Jersey Hospitals
Compared to baseline, New Jersey's hospitals have reduced PU/PIs by 38 percent, avoided 851 potential PU/PIs and saved $34,482,049 in unnecessary healthcare costs.
This was accomplished in part through hospital participation in collaborative efforts:
The NJHA Pressure Ulcer Collaborative
Our Goals Moving Ahead
By September 2018, each participating NJHIIN hospital will reduce PU/PIs by at least 20 percent or sustain a rate of zero.
Resources
NJHIIN Webinars
- Quality Improvement Frameworks to Implement Evidence-based Practices for Pressure Ulcer Prevention – June 15, 2016
- Pressure Ulcer Prevention in Vulnerable Elders – July 21, 2016
- Reducing Pressure Ulcers from Medical Devices – August 23, 2016
- Inside Look into Pressure Ulcer Prevention with NJ Best Practice Hospitals – August 30, 2016
- Pressure Ulcers and Nutrition – September 13, 2016
- Intact Skin Is In: Bundling Evidence Based Strategies to Reduce Hospital Acquired Skin Injury – November 30, 2016
- Changes in the Pressure Injury Staging System - May 24, 2017
- The International Buzz on Pressure Injuries – July 17, 2017
- Challenges of Describing Unavoidable Pressure Injuries - Aug. 14, 2017
- Highlighting Nutrition in Pressure Injury Prevention Kick-off Webinar with Mary Litchford - March 14, 2018
- Pressure Ulcers and Nutrition Coaching Call with Mary Litchford - April 24, 2018
- Pressure Injury Collaborative: Preventive Bundles in Pressure Injury Prevention – June 12, 2018
- Pressure Injury Collaborative: Coaching Call on Care Bundles – July 10, 2018
- Issues and Concerns with MDRPI (Medical Device-related Pressure Injuries): Helpful Tips – Sept. 12, 2018
- Pressure Injury Collaborative: Coaching Call with Mary Brennan and Penn Medicine Princeton Medical Center - October 10, 2018
- Pressure Injury Webinar Series featuring Dr. Joyce Black: Webinar #1 - Is That a Pressure Injury and How Would You Know? - December 3, 2019
- Pressure Injury Webinar Series featuring Dr. Joyce Black: Webinar #2 - The Dark Side of Pressure Injuries: Challenges and Pitfalls - December 5, 2019
- Pressure Injury Webinar Series featuring Dr. Diane Krasner #3 - Strategies for Preventing Pressure Injury and Wound Litigation - January 7, 2020
- Medications and Wound Healing/Wound Generation: The Good, The Bad, The Ugly: Implications for Pressure Injury, speaker Janice Beitz - January 14, 2020